Active NPIIndividual providerSole proprietor

Dr. Radhika Maddali, MD

Internal Medicine in East Orange, New Jersey

NPI Number1790872638
Practice location
310 Central Ave, Suite 305, East Orange, NJ 07018-2838
Fax
973-678-8183
Last updated
March 20, 2013

Radhika Maddali is an Internal Medicine based in East Orange, NJ. Radhika Maddali practices in East Orange, NJ and has the professional credentials of MD. The NPI Number for Radhika Maddali is 1790872638 and holds a License No. 25MAO7474500 (NJ). The current practice location address for Radhika Maddali is 310 Central Ave, Suite 305, East Orange, NJ 07018-2838 and can be reached out via phone at 973-678-2900 and via fax at 973-678-8183.

Provider Profile Details

NPI Number
1790872638
Provider Name
Radhika Maddali
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
310 Central Ave, Suite 305, East Orange, NJ 07018-2838
Phone Number
973-678-2900
Fax Number
973-678-8183
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 10, 2006
Last Update Date
March 20, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
310 Central Ave
Suite 305
East Orange, NJ 07018-2838
Zip
07018-2838
Phone Number
973-678-2900
Fax Number
973-678-8183
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
310 Central Ave
Suite 305
East Orange, NJ 07018-2838
City
East Orange
State
NJ
Zip
07018-2838
Phone Number
973-678-2900
Fax Number
973-678-8183

License Information

License Number
25MAO7474500
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Internal Medicine providers near East Orange, NJ

View all Internal Medicine providers in East Orange →

Frequently Asked Questions

What is the NPI number of Dr. Radhika Maddali, MD?

The NPI number of Dr. Radhika Maddali, MD is 1790872638. It was assigned on October 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Radhika Maddali, MD?

Dr. Radhika Maddali, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MAO7474500.

Where does Dr. Radhika Maddali, MD practice?

The practice location is 310 Central Ave, Suite 305, East Orange, NJ 07018-2838. The office can be reached at 973-678-2900 (phone) or 973-678-8183 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790872638 directly on the NPPES registry website.

Browse related providers